Mark Douglas Stracks MD, MS, MPH

NPI 1437215456 - Psychiatric Hospital - 283Q00000X

NPI Details
NPI 1437215456
Gender Male
Enumeration Date 12/28/2006
Last Updated 09/16/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
45 GOLD MINE RD
ROXBURY CT, 06783-1214, US
Phone (706) 718-8056
Fax
Business Location
45 GOLD MINE RD
ROXBURY CT, 06783-1214, US
Phone (706) 718-8056
Fax (706) 885-0607
Toxanomy
Taxonomy Code 283Q00000X
License State Maryland
License Number D0063341
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According to our database, Dr. Mark Douglas Stracks MD, MS, MPH NPI is 1437215456, taxonomy code is 283Q00000X and license number is D0063341, license state is located at Maryland. Mark Douglas Stracks MD, MS, MPH physically located at 45 Gold Mine Rd, Roxbury CT, 06783-1214. NPI Number Mark Douglas Stracks MD, MS, MPH has the Individual type.

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1437215456 NPI number is provided on an as is basis without warranty of any kind. 1437215456 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Douglas Stracks MD, MS, MPH are for informational purposes only.